Calculating Patients' Balances After the insurance carrier makes a decision on a claim and the practice receives and pos

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Calculating Patients Balances After The Insurance Carrier Makes A Decision On A Claim And The Practice Receives And Pos 1 (28.16 KiB) Viewed 50 times

Calculating Patients' Balances After the insurance carrier makes a decision on a claim and the practice receives and posts the payment, the patient's balance must be calculated. The claim case studies in this section provide practice in calculating balances by providing the latest payment Information obtained from RAs for each patient in Chapter 15. Claim Cases 15.1 through 15.20 Based on the payment information from the RA, you must calculate each patient's balance. All answer amounts should have dollars and cents, c.000, 13.00, 13.50, 1342.etc Case Study 16.13 Patient: Donald Aiken The practice receives the following information on two different RA. The first RA is from Medicare, the primary payet. The patient has met the Medicare deductible. The second RA is from the secondary carrier, AARP. PRIMARY CARRIER POS PROC 11 99203 11 36415 BILLED 103.00 17.00 ALLOWED 69.00 1700 DEDUCT 0.00 0.00 COINS/COPAY 13.80 3.40 PROV PD 55.20 13.60 SECONDARY CARRIER POS PROC BILLED 11 99203 103.00 11 36415 17.00 Patient balance: $ ALLOWED 69.00 17.00 DEDUCT 0.00 0.00 COINS/COPAY 0.00 0.00 PROV PO 13.80 3.40